SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Miller Marc D

(Last) (First) (Middle)
367 SOUTH GULPH ROAD

(Street)
KING OF PRUSSIA PA 19406

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/17/2006
3. Issuer Name and Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC [ UHS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class B Common Stock 400,000 I MMA Family, LLC(1)
Class B Common Stock 1,953 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class A Common Stock (2) (3) Class B Common Stock 444,447 (4) I A. Miller Family, LLC
Class A Common Stock (2) (3) Class B Common Stock 25,250 (4) I The Abby Danielle Miller 2002 Trust
Class A Common Stock (2) (3) Class B Common Stock 25,250 (4) I The Marni Spencer 2002 Trust
Class A Common Stock (2) (3) Class B Common Stock 25,250 (4) I The Marc Daniel Miller 2002 Trust
Option to purchase Class B Common Stock (5) 02/19/2007 Class B Common Stock 1,250 40.95 D
Option to purchase Class B Common Stock (6) 03/19/2008 Class B Common Stock 1,000 38.5 D
Option to purchase Class B Common Stock (7) 03/14/2010 Class B Common Stock 20,000 48.85 D
Explanation of Responses:
1. Marc D. Miller disclaims beneficial ownership of the securities attributable to Jill Miller and The Marni Spencer 2005 GRAT and The Abby Miller King 2005 GRAT as members of the MMA Family, LLC, and this report shall not be deemed an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
2. Immediately.
3. Not Applicable.
4. These shares are convertible to Class B Common Stock on a share for share basis.
5. The option became exercisable on February 19, 2003.
6. The option became exercisable as to 500 shares on March 19, 2004, and the remaining 500 shares shall vest on March 19, 2007.
7. The option became exercisable as to 5,000 shares on March 15, 2006, and the remaining 15,000 shares shall vest on March 15, 2007, March 15, 2008 and March 15, 2009.
/s/ Marc D. Miller 05/19/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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